Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius,
OBJECTIVES: the purpose of this study was to compare the postoperative radiological and clinical outcomes with minimally invasive percutaneous osteosynthesis using three implants: volar locking plate, intramedullary nail system and nonbridging external fixator for distal radius fractures.METHODS: fo...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2014-06-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300218&lng=en&tlng=en |
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| author | Marcio Aurélio Aita Carlos Henrique Vieira Ferreira Daniel Schneider Ibanez Rafael Saraiva Marquez Douglas Hideki Ikeuti Rodrigo Toledo Mota Marcos Vinicius Credidio Edison Noboru Fujiki |
| author_facet | Marcio Aurélio Aita Carlos Henrique Vieira Ferreira Daniel Schneider Ibanez Rafael Saraiva Marquez Douglas Hideki Ikeuti Rodrigo Toledo Mota Marcos Vinicius Credidio Edison Noboru Fujiki |
| author_sort | Marcio Aurélio Aita |
| collection | DOAJ |
| description | OBJECTIVES: the purpose of this study was to compare the postoperative radiological and clinical outcomes with minimally invasive percutaneous osteosynthesis using three implants: volar locking plate, intramedullary nail system and nonbridging external fixator for distal radius fractures.METHODS: forty-eight patients (A group, 16; B group 16; C group 16) underwent minimally invasive percutaneous osteosynthesis of reductible and unstable displaced (Type IIB by Rayhack Classification) distal radius fractures. In B group intramedullary nail system was used, in A group the patients were treated with volar locking plate and in C group the patients were treated by nonbridging external fixator from January 2011 to December 2012. The mean follow-up period was 12 months. Radiologic parameters, range of motion, grip strength, and disability of the arm, shoulder, and hand score were evaluated at each examination (3rd and 6th week, and 12th months). The visual analog scale of wrist pain and complications were assessed at the final follow-up.RESULTS: the groups did not differ significantly in radiological outcomes after 12 months, but the clinical results, VAS scale and dash score in group A (volar locking plate) and B (nail intramedullary) were statistically significantly better than that of C group (nonbridging external fixator). One patient underwent an osteosynthesis with nail intramedullary and another with external fixator (C group) developed persistent pain near the site of the superficial radial nerve because of the distal's screw and pins, respectively.CONCLUSION: in clinical parameters, significant differences in outcomes were found between groups A and B after six weeks versus C group. |
| first_indexed | 2024-03-08T08:31:07Z |
| format | Article |
| id | doaj.art-22e9e98d90d54477b5e99afc9ca2775a |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2025-03-22T03:37:59Z |
| publishDate | 2014-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-22e9e98d90d54477b5e99afc9ca2775a2024-04-28T12:06:41ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782014-06-0149321822610.1016/j.rboe.2014.04.003S0102-36162014000300218Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius,Marcio Aurélio AitaCarlos Henrique Vieira FerreiraDaniel Schneider IbanezRafael Saraiva MarquezDouglas Hideki IkeutiRodrigo Toledo MotaMarcos Vinicius CredidioEdison Noboru FujikiOBJECTIVES: the purpose of this study was to compare the postoperative radiological and clinical outcomes with minimally invasive percutaneous osteosynthesis using three implants: volar locking plate, intramedullary nail system and nonbridging external fixator for distal radius fractures.METHODS: forty-eight patients (A group, 16; B group 16; C group 16) underwent minimally invasive percutaneous osteosynthesis of reductible and unstable displaced (Type IIB by Rayhack Classification) distal radius fractures. In B group intramedullary nail system was used, in A group the patients were treated with volar locking plate and in C group the patients were treated by nonbridging external fixator from January 2011 to December 2012. The mean follow-up period was 12 months. Radiologic parameters, range of motion, grip strength, and disability of the arm, shoulder, and hand score were evaluated at each examination (3rd and 6th week, and 12th months). The visual analog scale of wrist pain and complications were assessed at the final follow-up.RESULTS: the groups did not differ significantly in radiological outcomes after 12 months, but the clinical results, VAS scale and dash score in group A (volar locking plate) and B (nail intramedullary) were statistically significantly better than that of C group (nonbridging external fixator). One patient underwent an osteosynthesis with nail intramedullary and another with external fixator (C group) developed persistent pain near the site of the superficial radial nerve because of the distal's screw and pins, respectively.CONCLUSION: in clinical parameters, significant differences in outcomes were found between groups A and B after six weeks versus C group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300218&lng=en&tlng=enFraturas do rádioFixação interna de fraturasPlacas ósseas |
| spellingShingle | Marcio Aurélio Aita Carlos Henrique Vieira Ferreira Daniel Schneider Ibanez Rafael Saraiva Marquez Douglas Hideki Ikeuti Rodrigo Toledo Mota Marcos Vinicius Credidio Edison Noboru Fujiki Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius, Revista Brasileira de Ortopedia Fraturas do rádio Fixação interna de fraturas Placas ósseas |
| title | Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius, |
| title_full | Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius, |
| title_fullStr | Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius, |
| title_full_unstemmed | Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius, |
| title_short | Randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius, |
| title_sort | randomized clinical trial on percutaneous minimally invasive osteosynthesis of fractures of the distal extremity of the radius |
| topic | Fraturas do rádio Fixação interna de fraturas Placas ósseas |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162014000300218&lng=en&tlng=en |
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